Bayonne Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAYONNE FAMILY PRACTICE

Practice address

391 Kennedy Blvd
Bayonne, NJ 07002-1330

Phone

(201) 858-4110

Fax

(201) 858-2240

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jolanta Potoczek-Salahi, M.D.NPI 1376532796

Title

Owner

Phone

(201) 858-4110

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolanta Potoczek-Salahi, MD

  • Family Medicine Physician
  • Bayonne, NJ
  • NPI 1376532796
  Authorized official Same address or phone
• Mario G Angulo, DO

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1942791827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427143247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021330",
            "telephone_number": "201-858-4110",
            "fax_number": "201-858-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021330",
            "telephone_number": "201-858-4110",
            "fax_number": "201-858-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTOCZEK-SALAHI",
        "authorized_official_first_name": "JOLANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-858-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayonne Community Mental Health Center
• Bayonne Dental Associates PC
• Bayonne Dermatology Associates
• Bayonne Emergency Assoc LLC
• Bayonne Family Dental (North Bergen Dental Group)
• Bayonne Health and Wellness PC
• Bayonne Hospital Physicians
• Bayonne Imaging Associates, LLC.
• Bayonne Medical Center
• Bayonne Medical Plaza, LLC (Integrated Medical Center)

• Family Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.